NPIMap

Organization Active NPI

Bolt Hess DDS, LLC

  • General Practice Dentistry
  • In, IN
National Provider Identifier
1487002135
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12012466A Issued in IN
Legal business name
BOLT HESS DDS, LLC
Practice address
307 N Green St
Brownsburg
In, IN 46012-1022
Phone
(317) 852-7112
NPI assigned
Jun 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jeff V Hutter
Title
Manager
Phone
(502) 797-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12012466A IN Primary

Addresses

Primary practice location

307 N Green St
Brownsburg
In, IN 46012-1022

Mailing address

307 N Green St
Brownsburg
In, IN 46012-1022
Phone (317) 852-7112

National Provider Directory

National Provider Directory

Locations

307 N Green St
Brownsburg, IN 46112
Phone (317) 852-7112

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1487002135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N GREEN ST",
            "address_2": "BROWNSBURG",
            "city": "IN",
            "state": "IN",
            "postal_code": "460121022",
            "telephone_number": "317-852-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N GREEN ST",
            "address_2": "BROWNSBURG",
            "city": "IN",
            "state": "IN",
            "postal_code": "460121022",
            "telephone_number": "317-852-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLT HESS DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "HUTTER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-797-9111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012466A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in In, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.